| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $39.39 | $39.39 | $49.49 | |
CareSource
| Facility | $26,249.74 | $40,424.60 | $55,999.44 | |
CareSource
| Professional | $47,249.53 | $48,999.51 | $50,749.49 | |
Cigna
| Professional | $87.56 | $126.80 | $207.17 |